NPI | 1962690313 |
---|---|
Former Name | DAWN LEE SAWRUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003644) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 3644) |
Enumeration Date | 2007-10-11 |
Last Update Date | 2023-12-06 |